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1942343405
WELLSTREET OF GEORGIA PC
NEWNAN, GA
NPI
1942343405
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Entity Type
Organization
Authorized Contact
TONIA RANA DAVIS
Credentialing Manager
770-809-3036
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2007-02-15
Last Update Date
2019-12-02
Business Address
WELLSTREET OF GEORGIA PC
1755 HIGHWAY 34 E SUITE 2150
NEWNAN, GA 30265-5631
Phone number: 770-202-2121
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Mailing Address
WELLSTREET OF GEORGIA PC
1755 HIGHWAY 34 E SUITE 2150
NEWNAN, GA 30265-5631
Phone number: 770-202-2121
Copy
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